| NPI | 1750682902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE PERRY Member 207-650-7528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC4002) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2018-03-17 |